Individual
RONALD DIANG MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2646
(202) 827-9961
(028) 279-9632
Mailing address
2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2646
(571) 969-8648
(202) 827-9963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/07/2023
Last updated
05/05/2023
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